Universitas Prima Indonesia: Open Journal Systems
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Management Strategies for Endometriosis in Women: Literature Review
No full textEndometriosis is a chronic, estrogen-dependent gynecological disorder affecting women of reproductive age and is associated with persistent pain, organ dysfunction, and infertility. Despite the availability of various treatment options, its management remains challenging due to complex pathophysiology and variable responses to therapy. This literature review aims to summarize recent evidence on management strategies for endometriosis and to highlight their clinical implications. A descriptive literature review was conducted using a systematic search of four databases which are PubMed, Scopus, EBSCOhost, and ScienceDirect for articles published between 2020 and 2025. Following the PRISMA 2020 guidelines, an initial search identified 45,014 records. After screening titles and abstracts and assessing full-text eligibility, six primary studies met the inclusion criteria and were included in the final synthesis. The included studies were analyzed thematically and categorized into five main therapeutic approaches: hormonal therapy, immunological therapy, antioxidant therapy, surgical therapy, and traditional or complementary therapy. Overall, these strategies demonstrated potential benefits in reducing pain, improving fertility-related outcomes, and lowering postoperative recurrence when applied in appropriate clinical contexts. Rather than indicating a single optimal treatment, the findings emphasize the importance of individualized and multimodal management tailored to symptom severity, reproductive goals, and treatment tolerance. This review contributes to the existing literature by integrating diverse and emerging management strategies into a cohesive framework that supports clinical decision-making. Clinically, the findings underscore the value of patient-centered care, careful monitoring of treatment effects, and interdisciplinary collaboration, including psychosocial support, to optimize long-term outcomes for women with endometriosis
The Relationship Between Emotion Regulation and Dysmenorrhea Intensity Pain in Adolescent Girls at SMAN 3 Malang
No full textOne of the significant physical changes experienced by adolescent girls is menstruation. Almost every adolescent girl experiences a menstrual disorder, namely dysmenorrhea. Dysmenorrhea is a gynecological disorder caused by an imbalance of the hormone progesterone in the blood, resulting in excessive prostaglandin production that triggers pain during menstruation. The intensity of dysmenorrhea can vary from mild, moderate, to severe. In addition to physical effects, menstrual pain may also cause psychological symptoms, such as uncontrolled emotions. With good emotion regulation, adolescent girls are able to manage, control, and express their emotions appropriately according to their menstrual condition. The purpose of this study was to determine the relationship between emotion regulation and the intensity of dysmenorrhea pain in adolescent girls at SMAN 3 Malang. This study used a quantitative method with a correlational approach and a cross-sectional design. Data were collected using questionnaires distributed via Google Form. The study involved 244 respondents who were students of SMAN 3 Malang in grades X, XI, and XII. Data analysis was conducted using the Spearman test. The results showed a p value of 0.002 (α< 0.05) with a correlation coefficient of r=-0.194. These findings indicate a significant negative relationship between emotion regulation and dysmenorrhea pain
The effect of avocado consumption on salivary pH among students with halitosis
No full textHalitosis is an oral health problem frequently associated with salivary condition, particularly its degree of acidity (pH). Acidic salivary pH supports the growth of anaerobic bacteria which produce volatile sulphur compounds, the primary cause of oral malodour. A non-pharmacological approach with the potential to neutralise salivary pH is the use of natural substances, such as avocado fruit (Persea americana), which contains bioactive compounds with antibacterial and acid-buffering effects. This study aimed to determine the effect of avocado consumption on salivary pH in students with halitosis. A quasi-experimental design with a one-group pretest-posttest model was employed. The sample consisted of 38 students meeting the inclusion criteria of having acidic salivary pH and halitosis. Salivary pH was measured before intervention, and at 30 and 60 minutes after subjects chewed 10 grams of avocado 32 times. Data were analysed using the Friedman and Wilcoxon tests with a significance level of 5%. The results demonstrated a significant increase in salivary pH 30 minutes after avocado consumption, from an acidic towards a neutral state (p < 0.05). However, at the 60-minute measurement, salivary pH returned to baseline and showed no significant difference compared to pre-intervention values (p > 0.05). This indicates that the effect of avocado consumption on increasing salivary pH is transient. In conclusion, consuming avocado fruit can significantly increase salivary pH in the short term and may help reduce halitosis, although regular consumption coupled with diligent oral hygiene practices is necessary to maintain this effect
Antibacterial activity of Trigona sp. propolis extract against Aggregatibacter actinomycetemcomitans in vitro
No full textBackground: Aggregatibacter actinomycetemcomitans is a primary pathogen in aggressive periodontitis. Plaque control uses chemical and natural agents. Propolis inhibits growth of bacteria, viruses, and fungi. This study assessed the in vitro antibacterial activity of Trigona sp. propolis extract against A. actinomycetemcomitans.
Methods: This true experimental laboratory study used a post-test-only control group design. Samples were A. actinomycetemcomitans bacteria in 8 groups (n=5 each). The dilution method tested antibacterial activity. Data analysis used Kruskal-Wallis and Mann-Whitney tests.
Results: Mean A. actinomycetemcomitans colony counts (mean ± SD) were 5.60 ± 1.52, 11.60 ± 4.83, 15.60 ± 5.03, 22.20 ± 2.86, 25.40 ± 6.43, and 141.80 ± 5.40 for propolis concentrations of 50, 25, 12.5, 6.25, 3.125, and 1.56, respectively. Negative control (DMSO) showed uncountable colonies; positive control (chlorhexidine) showed none. Kruskal-Wallis test indicated significant differences (p=0.001). Mann-Whitney test showed differences between most groups (p<0.05), except 25 vs. 12.5% (p=0.421), 12.5 vs. 3.125% (p=0.056), and 6.25 vs. 3.125% (p=0.151).
Conclusion: Trigona sp. propolis inhibited and showed bactericidal potential against A. actinomycetemcomitans in vitro, with minimum inhibitory concentration at 3.125% and minimum bactericidal concentration at 50%
Edukasi Kesehatan tentang Makanan Sehat untuk Ginjal dan Jantung yang Kuat
No full textGinjal dan jantung merupakan organ vital yang bekerja sinergis menjaga homeostasis tubuh. Gangguan pada salah satunya dapat menimbulkan sindrom cardiorenal. Di Indonesia, prevalensi penyakit ginjal kronis (PGK) dan penyakit kardiovaskular terus meningkat, dipengaruhi pola makan tinggi garam, gula, dan lemak jenuh serta rendah konsumsi buah dan sayur. Edukasi gizi menjadi strategi penting untuk meningkatkan kesadaran dan pengetahuan masyarakat dalam menjaga kesehatan ginjal dan jantung. Penelitian ini menggunakan desain pra-eksperimental dengan pendekatan one group pretest–posttest. Intervensi berupa edukasi multimodal melalui ceramah interaktif, handout, diskusi, media audiovisual, dan demonstrasi menu sehat. Instrumen penelitian meliputi kuesioner pengetahuan dan lembar observasi. Analisis data menggunakan uji paired t-test atau Wilcoxon, serta analisis deskriptif untuk umpan balik peserta. Hasil penelitian menunjukkan peningkatan signifikan pada pengetahuan dan kesadaran peserta setelah intervensi. Responden mampu membedakan makanan bermanfaat maupun berisiko, menyusun menu sehat harian, serta lebih sadar membatasi garam, gula, dan lemak jenuh. Perubahan perilaku juga terlihat dari berkurangnya minat terhadap makanan cepat saji dan tinggi kolesterol, serta meningkatnya minat menerapkan pola makan sehat. Kesimpulan: Edukasi gizi multimodal efektif meningkatkan pengetahuan, keterampilan, dan perilaku sehat terkait diet untuk kesehatan ginjal dan jantung. Keterbatasan penelitian ini adalah jumlah sampel kecil dan periode intervensi singkat. Penelitian lanjutan dengan sampel lebih besar dan evaluasi jangka panjang diperlukan
Effectiveness Of The JKN Mobile Application In Optimizing Waiting Time For BPJS Outpatient Patients
No full textThe JKN mobile application offers features such as online registration and real-time notifications to address barriers such as manual registration, but long queue times can reduce service satisfaction and accessibility. This study employed a descriptive qualitative method, aiming to determine how long BPJS Kesehatan patients wait for outpatient services, the factors that cause delays, and whether the JKN mobile application can be optimized. This study used 15 patients as an incidental sample, with percentage analysis divided into categories of <60 minutes and >60 minutes. The results showed that 73.33% (11 patients) met the waiting time standard of less than 60 minutes, while 26.67% (4 patients) exceeded 60 minutes. This was primarily due to the new patient status and lack of space in the surgical polyclinic for 100% of cases. The neurology and orthopedics polyclinics achieved 100% compliance with the standard. This study suggests that the JKN mobile application can accelerate the registration process and reduce queues, supporting the BPJS system and national health policy, and increasing universal accessibility to services. Furthermore, the JKN mobile application, which includes online registration and instant notifications, is being encouraged to expedite the new patient process and optimize resource allocation, particularly in surgical polyclinics. The app aims to improve accessibility and patient satisfaction
ANALISIS KEPUASAN MASYARAKAT TERHADAP KUALITAS PELAYANAN KANTOR DESA SELACAU
No full textIn this study, the aim is to find out the extent to which the people in Selacau village feel satisfaction with the services that have been provided by the village office to the community. The type of research used in this study is quantitative. The population in this study is local residents of Selacau village, with a sample of 100 respondents. The test in this study uses the Linear Regression Test. Hypothesis testing used partial test (t) and simultaneous test (F), using SPSS 30.0.0.0 (20). The results of the partial test (t) show that the variable Quality of Service (X) has a significant effect on Community Satisfaction (Y). The results of the silmultan test (F) showed that there was a positive relationship between Service Quality and Community Satisfaction with a Fcount value of 42.175 > f table 3.94 with a significance obtained of 0.001 < 0.05, This indicates that the Service Quality variable has an effect on the Community Satisfaction variabl
Evaluation of the Hospital Information Management System (SIMRS) in the Medical Records Unit Using the Hot-Fit Method at RSUD Welas Asih
No full textThis study aims to evaluate the effectiveness of the implementation of the Hospital Management Information System (SIMRS) in the Medical Records Unit of Welas Asih Regional Hospital using the HOT-Fit model, which includes the Human, Organization, Technology, and Net Benefit aspects. The research method is a descriptive quantitative survey with a total sampling technique, involving all 41 medical record officers as active SIMRS users. The data collection instrument was a Likert scale questionnaire that has been tested for validity and reliability. Analysis was carried out descriptively by calculating the average value of each component. The results show that the implementation of SIMRS is in the very good category with an overall average value of 4.68. The highest value is found in the Net Benefit aspect, namely 4.73, which confirms that SIMRS provides direct benefits in accelerating service flow and improving data accuracy. The Organization aspect obtained a value of 4.70, Human 4.68, and Technology 4.62, which overall indicate user readiness, organizational support, and system reliability. However, respondents still noted the need to improve network stability and feature development to optimize SIMRS utilization in supporting the medical records service process
The Effect of the Dakon Game on the Cognitive Function of the Elderly at the Turusgede Rembang PPSLU
No full textCognitive decline is often considered a natural condition in the elderly. However, this disorder can cause forgetfulness, difficulty concentrating, and communication difficulties, impacting daily activities and quality of life. One non-pharmacological intervention that can be used to improve cognitive function is the traditional game of Dakon. This study aimed to determine the effect of Dakon on the cognitive function of elderly people at the Turusgede Rembang Community Learning Center (PPSLU). The study used a quantitative pre-experimental design with a one-group pre-post test and a cohort approach. The study population consisted of 30 elderly people with cognitive decline, and 28 were selected using a purposive sampling technique. The research instruments included the Mini Mental State Examination (MMSE) questionnaire and the Dakon game standard operating procedures (SOP). Data analysis was performed using the Wilcoxon test with a significance level of α=<0.05. The results showed a ρ value of 0.000<0.05, thus accepting H₁, indicating that Dakon significantly improves cognitive function in the elderly. Most respondents experienced improved cognitive scores due to their ability to follow the game stages well, concentrate, and cooperate during the intervention. One respondent experienced no improvement in cognitive function, influenced by factors such as advanced age, low education level, lack of social interaction, and health conditions such as hypertension. It can be concluded that the traditional Dakon game is an effective non-pharmacological intervention in improving the cognitive function of the elderly at the Turusgede Rembang PPSLU
Exploring Anxiety Levels in Hypertensive Patients with Headache: A Cross-Sectional Study
No full textHypertension is a chronic “silent killer” that affects over 1.4 billion people globally. Besides physical symptoms, hypertensive patients often experience anxiety, especially when accompanied by headaches. This study aimed to identify anxiety levels among hypertensive patients with headache and their implications for holistic nursing care. A descriptive quantitative study with a cross-sectional design was conducted at Puskesmas Ngawi Purba from February to May 2024. Forty-three hypertensive patients aged 35–55 years experiencing headaches were selected by accidental sampling. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS) and pain using the Numeric Rating Scale (NRS). Most respondents were female (69.8%), elderly (60.5%), and obese (44.2%). Moderate anxiety was found in 30.2% of participants, with 79.1% having stage 2 hypertension and 62.8% reporting moderate pain. Hypertensive patients with headache mostly experience moderate anxiety. Holistic nursing care addressing both physical and psychological aspects is essential to enhance blood pressure control and patient well-being